HomeMy WebLinkAbout0145253-Building (weatherization) CITY OF OSHKOSH No 145253
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 759 MONROE ST Owner LORI L TYLER
Create Date 03/25/2011
Designer Contractor ADVOCAP INC
Category * 140 - Interior Remodeling Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning Class of Const:
Size
Unfinished /Basement Sq. Ft. Rooms Height Ft. ❑ Projection
Finished /Living Sq. Ft. Bedrooms Stories
Canopies
Garage Sq. Ft. Baths
Signs
Foundation • Poured Concrete 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use /Nature SFR/ Weatherization* To include insulating and weatherstripping. Any HVAC , plumbing or electric work will require separate permits
of Work from tics contractors.
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $5,300.00 Plan Approval $0.00 Permit Fee Paid
$60.00 Park Dedication $0.00
Issued By: 967 Date 03/25/2011 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id # 1107660000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
I have read and understand the afore mentioned information.
Signature
Date
Agent/Owner
Address PO BOX 1108 FOND DU LAC WI 54936 - 0000 Telephone Number
P (920)426 -0150
* 140 - Interior Remodeling See Chapter NR 447 of the Wisconsin Administrative Code and Notification Form 4500 -113 on the DNR
Asbestos Program website; http: / /dnr.wi.gov /air /compenf /asbestos /. For additional information on hazards present in buildings see
the Pre- Demolition Environmental Checklist at http: / /dnr.wi.gov /org /aw /wm /publications /anewpub /WA651.pdf
To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
k
City t Ji 1 -Se
Inspection Services Division
POBox 1130
Oshkosh. WI 54903 -113 0
41
Phone: (920) 236 -5050
Fax: (920) 236 -5084 OIHKOJH
Building Permit Application ON THE WATER.
b are a cgntrucror particioaringin the Permit Fee Jvs!nrrt aild have adequate funds, check here
U W L L . Ihij • Er0 L4, S'ed tnrCi1�11 vOUr account ■ - - -- - - -- - —
?013 ADDRESS_
I am the: ❑ Owner OR • Contractor
USE CATEGORY
❑Single Fainily ❑Duplex O vlulti Family ❑Rental ❑Commercial ❑Industrial
Work being done:
C Addition G Deck/Porch/Patio Driveway /Parking
External ,Remodeling C' Fence/Hedge/Kennel Garage /Utility Structure
I andicap Ramp L: Hot Tub /Spa Internal Remodeling
111 SigniCanopv /Awning LT Stair /Handrail Stove!Fireplace
Swimming Pool Wrecking Permit
Other
Additional information, such as plan submittal and approval, may be required before issuance. Fliers,
located in the hallway, may be referenced to note if any additional information is necessary.
p. NOiSIf' 2i3S f'J.L3dSNI
Full descript of work being done: 53�1.n
— 3w�D 13Aa ASIN
3O 3_N3Wi.' Vd3C1
LI 9ti �V4
Any work not included in this application is not permitted.
1 73 of the lob S (s - a :ue matcr.ai; an/ la``cr is recd ens:rc ac2.ssine. permil .ca ali
. ;n:icants.)
r E AD. SIGN. & DATE,:
1 Lei r;?b' Ike oho/i fS Co,777Ieree and accurst re, 'ailons ?r017i the above submitted
77(1tion 121ay rC quit -e ad'iition: d permits t0 be obtai7ied. 61Cr:110,t and Clgree t0 these terms.
Name: ).� y (�; 'o
(Please print)
i
Signature: _d i
Date:
3/02
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